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YP5-26321-58442

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
782 / TX
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · Vomiting
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good · Vomiting
    Free text: Could be due to dental surgery under sedation.also a slight cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Survey response — day 7, dose 1
    MedDRA: Cough, Pain in jaw — Feeling: Good · Muscle or body aches
    Free text: Jaw pain from dental surgery and a little cough,which might be due to3 hour anaesthesia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-22
    Dose 2 — Moderna
  15. 2021-02-22
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activities
    Free text: I have Smith Maginis Syndrome..delayed reaction fir pain,cold ,hot etc.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-10-25
    Dose 3 — Moderna
  31. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: A lot of pain all night at injection site.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pre-existing disease, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches
    Free text: I have Smith-Magenus syndrome. Usually have delayed redponsr to pain,hot and cold temps.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  34. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  35. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  36. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  37. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  38. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school
    Free text: Got covid Dec 2021after 2shots and a booster taken in October 2021
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-22Moderna
32021-10-25Moderna No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Could be due to dental surgery under sedation.also a slight cough

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Jaw pain from dental surgery and a little cough,which might be due to3 hour anaesthesia

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): I have Smith Maginis Syndrome..delayed reaction fir pain,cold ,hot etc.

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): A lot of pain all night at injection site.

2021-10-27

Systemic reaction (other): I have Smith-Magenus syndrome. Usually have delayed redponsr to pain,hot and cold temps.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Got covid Dec 2021after 2shots and a booster taken in October 2021

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDCOVID-19 · · ✓
SROCough ✓ ✓ ✓
SROInjection site pain · · ✓
SROPain in jaw ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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